key: cord-0967797-c7z1bx5d
authors: Kamath, Yogish Subraya; George, Neenu Mariam; Sarpangala, Shailaja; Kulkarni, Chidanand
title: Response to comment on: Central retinal vein occlusion secondary to varicella-zoster retinal vasculitis in an immunocompetent individual during the COVID-19 pandemic - A case report
date: 2022-02-03
journal: Indian J Ophthalmol
DOI: 10.4103/ijo.ijo_2942_21
sha: 843d131f6c6a63b4c89b7e6f3dc31cc06d482b9f
doc_id: 967797
cord_uid: c7z1bx5d

nan

Dear Editor, We thank the authors for their valuable observations and providing us an opportunity for clarifying our case report further. [1] In our report, we mentioned the occurrence of the case during the COVID-19 pandemic, as it presented in the month of November 2020, when our area was just recovering from the first wave. [2] As our hospital was a tertiary care center and a COVID-19 care nodal hospital in our district, during that period, all patients were screened for symptoms of COVID-19 including fever. Our case had denied any symptoms of influenza-like illness (ILI) and was afebrile on presentation. Due to reports of subclinical COVID-19 infection increasing susceptibility to other viral diseases, as well as retinal vascular occlusions, we felt that our case too, being young, may have been an asymptomatic carrier. [3] In the absence of history of travel, contact with a positive case or ILI, the prevailing COVID-19 testing regulations during that period restricted us from performing either a reverse transcription polymerase chain reaction test, rapid antigen test or serology, despite all the facilities being available in our hospital. [4] We agree with the comment of COVID-19 vaccination leading to vascular thrombosis. However, it was not applicable in our case as the vaccination in our country was started only after January 2021, much after his presentation to us. [5] The patient also underwent an evaluation by the physician for his elevated serum homocysteine levels, and is on appropriate vitamin supplementation for the same.

Nil.

There are no conflicts of interest.

Comment on: Central retinal vein occlusion secondary to varicella-zoster retinal vasculitis in an immunocompetent individual during the COVID-19 pandemic -A case report

Central retinal vein occlusion secondary to varicella zoster retinal vasculitis in an immunocompetent individual during the COVID-19 pandemic -A case report

Herpes zoster might be an indicator for latent COVID 19 infection

Ministry of Health and Family Welfare. Advisory on strategy for COVID-19 testing in India (version VI, 4 th September 2020) Government of India

India's COVID-19 vaccination drive: Key challenges and resolutions

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